title: A rare case of Meleney's ulcer after partial chemical matricectomy.
abstract: BACKGROUND
  Meleney's ulcer is a rare, but potentially deadly infection that often occurs in post-surgical sites. This type of ulcer has not previously been reported in the toenail after phenol matricectomy.
  
  
  METHODS
  A female patient underwent partial phenolization of the medial nail matrix of the hallux, but after 2 months had a recurrent spicula that caused Meleney's ulcers.
  
  
  RESULTS
  The ulcers remained after treatment with antibiotics, and further surgery was required to fully clear the infection.
  
  
  CONCLUSIONS
  This case and review of Meleney's ulcer highlights the deceptively benign initial presentation of necrotizing fasciitis at the hallux after partial chemical matricectomy surgery using a phenol-based approach.
authors.affiliation: Facultad Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain. marta.losa@urjc.es
authors.forename: Marta Elena
authors.initials: ME
authors.lastname: Losa-Iglesias
authors.forename: Ricardo
authors.initials: R
authors.lastname: Becerro-de-Bengoa-Vallejo
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D005260:Female; D005734:Gangrene / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D006801:Humans; D009262:Nails / Q000601:surgery*; D012883:Skin Ulcer / Q000188:drug therapy* / Q000473:pathology; D013530:Surgical Wound Infection / Q000188:drug therapy* / Q000473:pathology; D014034:Toes / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin; D002939:Ciprofloxacin